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PAD Profile : Lansoprazole - Acid suppression (Adults)
Traffic Light Status
Status 1 of 3.
- Capsules
Status 2 of 3.
- Oro-dispersible
Status 3 of 3.
- Liquid
- Oral solution
- Oral suspension
Guidelines
The following guidelines are available for this indication.
Other Drugs
- Esomeprazole
- Ranitidine hydrochloride
- Omeprazole
- Pantoprazole
- Rabeprazole sodium
- Cimetidine
- Nizatidine
- Famotidine
Other Indications
Additional Documents
Committee Recommendations
The Surrey Heartlands Integrated Care System Area Prescribing Committee (APC) has agreed that lansoprazole capsules are a first choice option for people with no swallowing difficulties.
Some lansoprazole capsules are licensed to be opened and have their contents mixed with water, apple/tomato juice, or sprinkled on soft food (e.g. yogurt, apple puree) to help people with swallowing difficulties.
Some brands are licensed for enteral feeding tubes 14F or larger (check SPC) but other licensed options are available as per below.
For people with no swallowing difficulties:
- 1st Line: Lansoprazole capsules/Omeprazole capsules
- 2nd line: Pantoprazole tablets (Suitable for patients that cannot have animal-derived products)
- 2nd line: Rabeprazole tablets (Suitable for patients that cannot have animal-derived products)
- 3rd line: Esomeprazole capsules – not for new initiation
For patients who cannot swallow tablets/have swallowing difficulties:
- 1st Line: lansoprazole orodispersible tablets
- 2nd line: lansoprazole capsules/omeprazole capsules (opened, and granules dispersed in water/yoghurt/apple puree)
- 3rd line: esomeprazole granule sachets
For patients with enteral feeding tubes:
- 1st line: lansoprazole orodispersible tablets
- 2nd line: lansoprazole capsules
- 3rd line: esomeprazole granule sachets (do not use if tube is less than 6F)